Applied Nursing Research最新文献

{"title":"Dehumanization in intensive care units and standard wards: A survey for a comparative cross-sectional study","authors":"Cappellini Iacopo,&nbsp;Nuti Chiara,&nbsp;Di Stefano Matteo,&nbsp;Zamidei Lucia,&nbsp;Campiglia Laura,&nbsp;Consales Guglielmo","doi":"10.1016/j.apnr.2024.151774","DOIUrl":"10.1016/j.apnr.2024.151774","url":null,"abstract":"<div><h3>Objectives</h3><p>Dehumanization refers to the practice of treating patients as objects rather than individuals with dignity and respect.</p></div><div><h3>Methods</h3><p>This study explores dehumanization in healthcare, specifically mechanistic dehumanization and self-dehumanization, which can result in poor care and negative outcomes. A cross-sectional observational study was conducted using a dehumanization questionnaire given to 324 nurses in various departments. The study took place at ANONYMIZED, from September to November 2022. The questionnaire analyzed emotions like anger, impatience, and apathy, identified as key dehumanizing factors.</p></div><div><h3>Results</h3><p>Results indicated that these emotions were prevalent in nurses' perceptions of patients. Interestingly, while Intensive Care nurses often involved families in patient care, leading to higher satisfaction, ward department nurses sometimes viewed patient or family relationships as obstacles. Despite this, 66 % of nurses reported satisfaction with the care provided, while 12 % were indifferent.</p></div><div><h3>Conclusions</h3><p>The study concludes that the root of dehumanization lies in nurses' inability to feel emotions, the impersonality of care, and the sterility of assistance, leading to self-dehumanization. To combat this, the study suggests strengthening nursing autonomy and education and fostering a positive work environment. The way nurses perceive themselves directly impacts their treatment of patients.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139953462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ketogenic therapies in Parkinson's disease, Alzheimer's disease, and mild cognitive impairment: An integrative review","authors":"Susan Price MSN, RN, FNP-BC ,&nbsp;Todd M. Ruppar PhD, RN, FAAN","doi":"10.1016/j.apnr.2023.151745","DOIUrl":"10.1016/j.apnr.2023.151745","url":null,"abstract":"<div><h3>Background</h3><p><span>Ketogenic therapies have shown benefit for seizure reduction in epilepsy but their impact on other neurologic conditions is less known. In this literature review, the efficacy of ketogenic therapies were assessed in </span>Parkinson's disease<span> (PD), Alzheimer's disease<span> (AD), and mild cognitive impairment (MCI).</span></span></p></div><div><h3>Methods</h3><p>A literature search was conducted using PubMed, Scopus, and Google Scholar focusing on ketogenic therapies in PD, AD, and MCI.</p></div><div><h3>Results</h3><p>A total of 2565 records were identified with a total of 15 studies (3 for PD and 12 for MCI/AD) meeting criteria for analysis. The ketogenic diet<span><span> was used in all the PD studies and did show significant improvement in motor function either through vocal quality, gait, freezing, tremor, and/or balance. A variety of ketogenic therapies were utilized in the MCI and AD groups including a ketogenic diet, low-carbohydrate diet, modified Adkins diet, Mediterranean diet with coconut oil<span> supplementation, a ketogenic diet with a ketogenic medium chain triglyceride (kMCT) supplement, as well as ketogenic supplements including a ketogenic drink with kMCT, oral ketogenic compounds (Axona and AC-1202), and MCT oil or emulsion. The ketogenic diet independently showed a non-significant trend towards improvement in cognition. The Mediterranean diet, modified Adkins diet, and low-carbohydrate diet showed statistically significant improvements in some, although not all, of their cognitive measures. Use of ketogenic supplements, drinks, or compounds showed variable results in the AD and MCI groups. The </span></span>Axona and AC-1202 compounds showed no significant improvement in cognition at the end of their respective 90-day trials. Most MCT supplements did show cognitive improvements, although only after 6 months of adherence. Adherence to the intervention was problematic in most of the diet studies.</span></p></div><div><h3>Conclusion</h3><p>Ketogenic therapies have promise in PD, AD, and MCI for symptom improvement although larger studies are needed to support their implementation in clinical practice.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136127958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interprofessional relationships and their impact on resident hospitalizations in nursing homes: A qualitative study","authors":"Geraldine Luna MD, MPH, MBAc ,&nbsp;Mhinjine Kim MHS ,&nbsp;Richard Miller MD ,&nbsp;Pooja Parekh MD ,&nbsp;Esther S. Kim MD ,&nbsp;Sophia Yaejin Park MD, MPH ,&nbsp;Ummesalmah Abdulbaseer BA ,&nbsp;Cristina Gonzalez BS ,&nbsp;Emily Stiehl PhD","doi":"10.1016/j.apnr.2023.151747","DOIUrl":"10.1016/j.apnr.2023.151747","url":null,"abstract":"<div><h3>Aim</h3><p>The aim of this study is to explore experiences and perspectives of nurses and providers (e.g., physicians, medical directors, fellows, and nurse practitioners) on reducing preventable hospitalizations of nursing home (NH) residents in relation to interprofessional relationship and hospitalization decision-making process.</p></div><div><h3>Background</h3><p>Preventable NH resident hospitalization continues to be a pressing public health issue. Studies show that improved interprofessional relationship may help reduce hospitalization, yet research on communication processes and interactions among different NH staff remains limited.</p></div><div><h3>Methods</h3><p>This is a qualitative descriptive study. Two focus groups were held with fourteen nurses and thirteen in-depth, qualitative interviews were conducted with providers from two Chicagoland NHs. Focus group sessions and interviews were transcribed, coded, and analyzed for common themes based on qualitative description method.</p></div><div><h3>Results</h3><p>All study participants agreed that providers have the ultimate responsibility for hospitalization decisions. However, nurses believed they could influence those decisions, depending on provider characteristics, trust, and resident conditions. Nurses and providers differed in the way they experienced and conveyed emotions, and differed in key elements affecting hospitalization decisions such as structural or environmental factors (e.g., lacking staff and equipment at the facility, poor communication between the NH and hospitals) and interpersonal factors (e.g., characteristics of effective nurses or providers and the effective interactions between them).</p></div><div><h3>Conclusions</h3><p>Interpersonal factors, including perceived competence, respect, and trust, may influence NH hospitalization decisions and be targeted for reducing preventable hospitalizations of residents.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136159592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Demystifying the experience of participating in a root cause analysis: A hermeneutic phenomenological study","authors":"Tamu Abreu PhD, RN-BC, CPPS, CPHQ,&nbsp;Wyona M. Freysteinson PhD, MN, RN, FAAN,&nbsp;Paula Clutter PhD, RN, CNL, CNE, CENP, CMSRN,&nbsp;Rebecca Aulbach PhD, RN, ACNS-BC","doi":"10.1016/j.apnr.2023.151746","DOIUrl":"https://doi.org/10.1016/j.apnr.2023.151746","url":null,"abstract":"<div><h3>Aim</h3><p>This study aimed to explore registered nurses' experience participating in a root cause analysis (RCA) meeting because of their involvement in an adverse event.</p></div><div><h3>Background</h3><p>An RCA is the most common strategy used by organizations for adverse event investigations. Nursing healthcare professionals directly involved in an adverse event may be asked to participate in the RCA. However, no studies were found in the literature on their experience.</p></div><div><h3>Methods</h3><p>Semi-structured audio-taped interviews were held with 13 registered nurses<span> who participated in an RCA. Ricoeur's hermeneutic phenomenology guided data analysis.</span></p></div><div><h3>Results</h3><p>Two structural elements represented the world of the nurses: 1) Learning about an RCA, and 2) being on the other side of the RCA table. Three phenomenological themes emerged: 1) anticipatory and embodied fear, 2) to speak or not to speak, 3) the aftermath.</p></div><div><h3>Conclusion</h3><p>Nurses desire RCA education to assist in understanding and support from nurse leaders throughout the process. Healthcare organizations must create a safe and collaborative environment to empower nurses to speak up and have their voices heard during the RCA process.</p></div><div><h3>Implications for nursing leaders</h3><p>Nurses want to participate in RCA meetings. However, leaders must demystify the RCA process for nurses through education and training.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136571178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of “Partnership Care Model” in chronically ill adults and children: A systematic review and dose-response meta-analysis of randomized controlled trials","authors":"Morteza Nasiri ,&nbsp;Fatemeh Yarahmadi ,&nbsp;Mehrnaz Ardaneh ,&nbsp;Mehran Naghibeiranvand ,&nbsp;Mohammad Sadegh Aghili Nasab ,&nbsp;Sahar Zonoori ,&nbsp;Maryam Babaei Khomeini ,&nbsp;Mahya Torkaman ,&nbsp;Mohammad Reza Rajabi ,&nbsp;Masoud Rezaei ,&nbsp;Masoomeh Asadi ,&nbsp;Zohre Jafari","doi":"10.1016/j.apnr.2023.151744","DOIUrl":"https://doi.org/10.1016/j.apnr.2023.151744","url":null,"abstract":"<div><h3>Background</h3><p>“<em>Partnership Care Model (PCM)</em><span><span>”, which is the first partnership conceptual framework founded on the Iranian culture to control chronic diseases, has been recently used in different fields of nursing research with no levels of valid evidence to support its application. Therefore, this </span>systematic review and meta-analysis sought to clarify the impacts of interventions developed based on PCM on quality of life (QoL), sleep quality, anxiety, and depression among adults and children with chronic diseases.</span></p></div><div><h3>Methods</h3><p>International data sources (e.g., PubMed, Web of Science, Scopus) and national databases (e.g., SID, MagIran, IranDoc, IRCT) were searched from 2001 to September 23, 2023, to find Randomized Controlled Trials (RCTs) on PCM-driven interventions for the experimental groups versus no intervention or standard care groups. The studies' methodological quality and evidence quality were rated utilizing the Cochrane risk of bias instruction and the Grading of Recommendations Assessment, Development, and Evaluation (GRADE). Data were pooled by a random-effects approach employing STATA (vers. 11.2).</p></div><div><h3>Result</h3><p>Eighteen RCTs, reported in 22 publications, were qualified. The PCM compared to the standard care significantly improved the QoL among both adults (10 effect sizes [ESs], mean difference [MD]: 3.17, <em>P</em> &lt; 0.001) and children (4 ESs, MD: 4.45, <em>P</em> &lt; 0.001). Likewise, the intervention enhanced adults' sleep quality (3 ESs, MD: 7.15, <em>P</em> &lt; 0.001). The anxiety of adults and children was also significantly lower in the PCM group (4 ESs, MD: −4.52, <em>P</em> = 0.001; 2 ESs, MD: −4.04, <em>P</em> &lt; 0.001, respectively). However, regarding depression, a significant effect of PCM was found only among children (3 ESs, MD: −7.99, <em>P</em> = 0.011). The methodological quality of the studies and the evidence quality were undesirable.</p></div><div><h3>Conclusion</h3><p>The PCM had a promising influence on the caring of adults and children suffering from chronic diseases. However, additional high-quality RCTs are needed to generate a higher quality of evidence concerning the clinical benefits of the PCM.</p></div><div><h3>PROSPERO no</h3><p>CRD42021253790.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50203680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unintended consequences of the electronic health record and cognitive load in emergency department nurses","authors":"Carolyn S. Harmon Ph.D., DNP, RN-BC ,&nbsp;Swann Arp Adams Ph.D., MS, FACE ,&nbsp;Jean E. Davis Ph.D., RN, FAAN ,&nbsp;Sheila M. Gephart Ph.D., RN ,&nbsp;Sara B. Donevant Ph.D., RN, CCRN","doi":"10.1016/j.apnr.2023.151724","DOIUrl":"10.1016/j.apnr.2023.151724","url":null,"abstract":"<div><h3>Aim</h3><p>The study aimed to explore the relationship between the unintended consequences of the electronic health record and cognitive load in emergency department nurses.</p></div><div><h3>Methods</h3><p>The study utilized a correlational quantitative design with a survey method approach. This study had a 30.4 % response rate for a total of 304 ED nurse participants who were members of a national ED nursing organization. Data analysis included descriptive and correlational measurements of two instruments.</p></div><div><h3>Results</h3><p>In this study, there was a statistically significant, weak negative relationship between CL and UC-EHR in ED nurses, r_s (264) = −0.154, <em>p 0.</em>002. Although a significant weak relationship was identified in this study, the study variables, subscales, and demographic data groupings presented moderate-to-strong positive, statistically significant correlations. Descriptive frequency data unveiled EHR stimulated patient safety threats occurring once a week to monthly.</p></div><div><h3>Conclusions</h3><p>The novelty of this research study provided profound implications for the future of nursing practice, policy, and nursing science. EHR optimization to minimize patient safety risks is recommended with the inclusion of end-users from this study's identified subgroups. The researchers propose a reduction of EHR burden in nursing practice.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10301484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A mixed-methods exploration of nurse loneliness and burnout during COVID-19","authors":"Rachel E. Wood PhD, RN, NPD-BC ,&nbsp;Michael Bleich PhD, RN, FAAN ,&nbsp;Jane Chung PhD, RN ,&nbsp;R.K. Elswick Jr PhD, NREMT-B ,&nbsp;Elizabeth Nease DNP, RN, NE-BC ,&nbsp;Lana Sargent PhD, FNP-C, GNP-BC ,&nbsp;Patricia A. Kinser PhD, WHNP-BC, FAAN","doi":"10.1016/j.apnr.2023.151716","DOIUrl":"10.1016/j.apnr.2023.151716","url":null,"abstract":"<div><h3>Aim</h3><p>This study investigated the phenomenon of nurse loneliness as a potential contributor to burnout.</p></div><div><h3>Background</h3><p>Nurse wellbeing is critical for safe and efficient healthcare delivery. However, evidence indicates nurses' wellbeing is at risk. The levels of burnout, the most commonly measured symptom of suboptimal wellbeing, are rising and may relate to a largely unexplored phenomenon: loneliness.</p></div><div><h3>Methods</h3><p>A mixed-methods approach was used to investigate burnout and loneliness in direct-care nurses in four diverse hospitals in the midwestern and southeastern United States. Burnout and loneliness were measured, prevalence was estimated, and correlation was examined. Interpretive descriptive inquiry and analysis was used to develop a richer understanding of nurse loneliness in the context of burnout. While this study did not explicitly explore the impact of the global pandemic, data was collected in late 2021 and early 2022, during the Delta variant wave.</p></div><div><h3>Results</h3><p>In the study population (<em>n</em> = 117), rates of burnout are high and positively correlate with loneliness. Qualitative interviews (<em>n</em><span> = 11) revealed that nurses feel unseen, emotionally detached from their work, and dehumanized. However, social connection with peers is protective and nurses still report a strong sense of devotion to the profession and solidarity with peers.</span></p></div><div><h3>Conclusions</h3><p>This study offers insight into nurse loneliness, highlighting the importance of social connectedness to improve nurse wellbeing.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10313371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Translation and validation of the Italian version of the incivility in nursing education-revised scale","authors":"Brigid Unim ,&nbsp;Marco Santini ,&nbsp;Roberto Latina ,&nbsp;Giulia Gambale ,&nbsp;Massimiliano Chiarini ,&nbsp;Marzia Nicoli ,&nbsp;Maria Sofia Cattaruzza","doi":"10.1016/j.apnr.2023.151728","DOIUrl":"10.1016/j.apnr.2023.151728","url":null,"abstract":"<div><h3>Background</h3><p>Incivility in nursing education is present worldwide and impacts all those involved and the teacher-student relationship. The revised Incivility in Nursing Education (INE-R) is a validated and reliable instrument to measure academic incivility, but it is not available in Italian language. The aim of the study was to translate and validate the INE-R tool with an Italian sample.</p></div><div><h3>Methods</h3><p>The INE-R was translated from English into Italian, culturally adapted and piloted for content and linguistic clarity. The questionnaire was administered online to Nursing Faculty (NF) and Nursing Students (NS) of Sapienza University of Rome to assess uncivil behaviors and their frequency of occurrence. The psychometric properties of the Italian version were investigated.</p></div><div><h3>Results</h3><p>79 Italians participated, of which 63.3 % were NS. Four-factor models provided the best fit for NF and NS scales. The models explained 78.2 % (NF) and 73.2 % (NS) of the variance of the scales. The Root Mean Square Error of Approximation for both models was 0.07, indicating an acceptable fit. INE-R reliability for all 48 NF and NS incivility items was 0.962 and 0.954, respectively. Measuring the degree of incivility and establishing codes of conduct were recommended.</p></div><div><h3>Conclusions</h3><p>Incivility in nursing education negatively impacts the teaching-learning environment and could cause emotional or physical distress for those involved. Zero-tolerance policy regarding incivility, routine evaluation, and raising awareness among students and faculty could improve the quality of academic settings. The Italian INE-R is a valid and reliable tool that can be used to evaluate incivility in Italian nursing programs.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10301479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The development and evaluation of a self-efficacy enhancement program for older adults with mild cognitive impairment","authors":"Jungeun Lee PhD, RN ,&nbsp;Eunhee Cho PhD, GNP-BC, RN, FAAN ,&nbsp;Heejung Kim PhD, RN, GNP ,&nbsp;Kyung Hee Lee PhD, RN ,&nbsp;Eosu Kim MD, PhD ,&nbsp;Byoung Seok Ye MD, PhD","doi":"10.1016/j.apnr.2023.151726","DOIUrl":"10.1016/j.apnr.2023.151726","url":null,"abstract":"<div><h3>Objective</h3><p>The aims of this study were to develop a self-efficacy enhancement program and to evaluate its effect on cognitive function, dementia knowledge, self-efficacy, depression, and dementia preventive behaviors in older adults (age ≥ 65 years) with mild cognitive impairment (MCI).</p></div><div><h3>Methods</h3><p>This equivalent control group pretest-posttest study was conducted at a tertiary hospital in Seoul, South Korea. Older adults with MCI were randomly allocated to an experimental (EG, <em>n</em> = 16) or control group (CG, n = 16). The EG underwent an 8-week intervention (weekly 60-min session) utilizing self-efficacy enhancement strategies; the CG received usual care. The intervention was comprised of physical, cognitive, and emotional activities and was followed by 4-week maintenance during which both groups engaged in self-learning at home with a dementia preventive guidebook. Outcome data were evaluated at the pretest and 8, 10, and 12 weeks later. This study adhered to the CONSORT guidelines.</p></div><div><h3>Results</h3><p>There were significant differences in cognitive function, dementia knowledge, self-efficacy, and dementia preventive behaviors, but not in depression between the two groups over the time. Regarding cognitive function subdomains, significant differences were observed in visuospatial/executive, attention, language, and delayed recall.</p></div><div><h3>Conclusion</h3><p>The integrated intervention consisting of physical, cognitive, and emotional activities was effective in improving cognitive function, dementia knowledge, self-efficacy, and dementia preventive behaviors. This suggests that this program can be utilized as an educational program to prevent dementia in older adults with MCI in dementia support centers, public health centers, clinics, and hospitals.</p></div><div><h3>Trial registration</h3><p>KCT0006094 in the Clinical Research Information Service. Retrospectively registered 23 April 2021, <span>https://cris.nih.go.kr/cris/search/listDetail.do</span><svg><path></path></svg></p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10301482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experiences of relatives of patients with delirium due to an acute health event - A systematic review of qualitative studies","authors":"Gesa Meyer ,&nbsp;Melanie Mauch ,&nbsp;Yvonne Seeger ,&nbsp;Marion Burckhardt","doi":"10.1016/j.apnr.2023.151722","DOIUrl":"10.1016/j.apnr.2023.151722","url":null,"abstract":"<div><h3>Objective</h3><p>Evaluate relatives' experience of delirium due to an acute health event in a loved person and to compile practical suggestions for health care professionals from these synthesized results.</p></div><div><h3>Background</h3><p>Delirium resulting from an acute health event places patients at increased risk for prolonged hospitalization and mortality. A delirium episode also affects family members who may assist in the diagnosis and recovery from this condition.</p></div><div><h3>Inclusion criteria</h3><p>Qualitative studies of family members or other caregivers who witnessed patient delirium in a clinical setting were included if they had appropriate verbatim evidence. Studies dealing exclusively with delirium in the context of dementia, cancer, palliative care, or drug dependence were excluded, and if quotes could not be clearly allocated to relatives.</p></div><div><h3>Methods</h3><p>A systematic review<span> of qualitative studies adapted from the Joanna Briggs Institute meta-aggregation approach. A systematic literature search was conducted in CINAHL complete®, MEDLINE®, and several dissertation databases in September 2022.</span></p></div><div><h3>Results</h3><p>Eight qualitative studies based on semi-structured interviews were included. In total 75 findings from 105 relatives were aggregated into 13 categories. Finally, three synthesized findings reveal suggestions for health care professionals: providing information adequately, communication and integration during health care and understanding relatives' perspective on delirium experience.</p></div><div><h3>Conclusion</h3><p>The identified burdens and needs of relatives should be considered by health care professionals to enhance the delirium experience for them, thus improving patient care by involving relatives with a better understanding.</p></div>","PeriodicalId":50740,"journal":{"name":"Applied Nursing Research","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10308066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}